Clean and Safe Health Facility Initiative(CASH) in Ethiopia

Geneva, Switzerland

March 16, 2015

Yakob Seman, Federal Minister of Health, Ethiopia

CASH Background

�  During baseline assessment we found the following ◦  In a hospital with 98 toilette only 27 of them functioning ◦  In a hospital with 159 hand washing sinks only 72

functioning ◦  From available showers only 15 % are well functioning ◦  Only few hospitals have alternative water source during

interruption of municipality water ◦  Only few hospitals have automatic electric source during

direct line interruption

Objective of CASH

To make health facilities clean, safe and comfortable

to patients, visitors and staff

Scope of CASH

•  Hospital service areas(clinics and wards)

•  Hospital Utilities(Water, Kitchen, Laundry, Toilette, Showier and sewerage system)

•  Hospital building and compound •  Surrounding places

All health facilities with particular focus on hospitals

CASH principles

1.  Clean Care is Safer Care

2.  Cleanliness is more of attitude than structure

3.  Health facilities should be healing places

4.  Cleanliness is everybody’s responsibility

Governance of CASH

Executive Committee

Project Team

Audit Team

Strategies of CASH

�  Governance structure established at all level

�  Sustained advocacy through political leaders

and national celebrities

�  Intersect oral collaboration with Water,

Electric and Professional associations

�  Prioritized procurement

Strategies of CASH…

�  Regular sustained cleaning campaigns lead

by seniors

�  Cleanliness charter and service level

agreement

�  Innovation & Best practice scale-up

�  Recognition

CASH Action Points

� Preparation phase

q Reaching consensus between federal, regions,

Hospitals and partners

q Baseline assessment

q Development of national CASH project document

with clear plan and budget

q Launching of the program at national, regional and

hospital level

CASH Action Points…

�  Implementation phase

q Sustained regular campaigns lead by seniors

q Advocacy through political leaders and national

celebrities

q Establishment of CASH management structure at

all level

q Mobilization of resource

q Construction and renovation of infrastructure

CASH Action Points… �  Monitoring and evaluation

q Development of Audit tools ,

q Conduct regular monitoring and evaluation

q Recognition of facilities

q Clustering hospitals for experience sharing

q Create system for sustainability like

introduction of CASH to other national facility

level initiatives

Measures of CASH �  Shift in attitude to zero tolerance for unclean

services and physical environment

�  Implementation of national minimum IPPS and

HCWM standards

�  Patient Satisfaction Score

�  HCAI

�  24 hr availability of clean water

�  24 hr availability of Electric city

CASH Progress up-to-date �  Governance structure established at all level �  Hospital level sustainable cleaning campaign lead by senior

physician �  Implementation of national minimum IPPS standard

improved from 54% to 71% �  Renovation and building of patient toilette, laundry, kitchen

and washing area done on several hospitals �  Alternative water source constructed at Hospital level like

St. Paual and Shashmene hospital �  System established to dispose non functional materials at

hospital level �  Experience sharing tour between hospitals

Lets CASH in all our commitments and resources to make our hospitals clean, comfortable and safe to all

አመሰግናለሁ

(THANK YOU)